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Nonprofiteer
← FLORIDA HOSPITAL MEDICAL GROUP INC

Form 990 for tax year 2024

Filed by FLORIDA HOSPITAL MEDICAL GROUP INC.

Totals

Total revenue
$1,116,995,832
Total expenses
$1,116,933,695
Contributions and grants received
$1,062,586
Grants paid
$18,417
Program service revenue
not reported
Investment income
not reported
Other revenue
not reported
Total assets, end of year
not reported
Total liabilities, end of year
not reported
Net assets or fund balances, end of year
not reported
Program services expenses (Part IX)
$1,002,075,530
Management and general expenses
$114,858,165
Fundraising expenses
$0
Program service expenses (Part III)
$1,002,075,530

Program services were 89.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • PATEL MD VIPUL

    PHYSICIAN

    Total calculated
    $4,963,596
    From this org
    $4,414,004
    From related orgs
    $0
    Other
    $549,592
    Hours/week
    69

    Schedule J breakdown matched by us

    Base
    $2,389,893
    Bonus
    $1,434,749
    Other
    $589,362
    Deferred
    $517,727
    Nontaxable benefits
    $31,865
    Filer's total
    $4,963,596

  • BHATHEJA MD ROHIT

    PHYSICIAN

    Total calculated
    $2,321,211
    From this org
    $2,268,569
    From related orgs
    $0
    Other
    $52,642
    Hours/week
    63

    Schedule J breakdown matched by us

    Base
    $1,784,246
    Bonus
    $441,585
    Other
    $42,738
    Deferred
    $17,727
    Nontaxable benefits
    $34,915
    Filer's total
    $2,321,211

  • VERVERIS MD JOHN

    PHYSICIAN

    Total calculated
    $2,133,524
    From this org
    $2,081,606
    From related orgs
    $0
    Other
    $51,918
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $582,587
    Bonus
    $1,483,002
    Other
    $16,017
    Deferred
    $17,727
    Nontaxable benefits
    $34,191
    Filer's total
    $2,133,524

  • ADAMS BRIAN

    DIRECTOR/CHAIRPERSON

    Total calculated
    $2,125,679
    From this org
    $0
    From related orgs
    $1,878,402
    Other
    $247,277
    Hours/week
    0.5 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,115,786 related
    Bonus
    $0 + $570,958 related
    Other
    $0 + $191,658 related
    Deferred
    $0 + $214,016 related
    Nontaxable benefits
    $0 + $33,261 related
    Filer's total
    $0 + $2,125,679 related

  • BARSOUM MD BASIEM

    PHYSICIAN

    Total calculated
    $2,118,865
    From this org
    $2,063,854
    From related orgs
    $0
    Other
    $55,011
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $1,115,714
    Bonus
    $940,503
    Other
    $7,637
    Deferred
    $17,727
    Nontaxable benefits
    $37,284
    Filer's total
    $2,118,865

  • STILTZ BRYAN

    DIRECTOR

    Total calculated
    $2,035,369
    From this org
    $0
    From related orgs
    $1,848,121
    Other
    $187,248
    Hours/week
    0.5 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $776,959 related
    Bonus
    $0 + $840,355 related
    Other
    $0 + $230,807 related
    Deferred
    $0 + $151,203 related
    Nontaxable benefits
    $0 + $36,045 related
    Filer's total
    $0 + $2,035,369 related

  • MARTINEZ MD JOSE

    PHYSICIAN

    Total calculated
    $2,006,195
    From this org
    $1,956,940
    From related orgs
    $0
    Other
    $49,255
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $883,319
    Bonus
    $1,031,768
    Other
    $41,853
    Deferred
    $17,727
    Nontaxable benefits
    $31,528
    Filer's total
    $2,006,195

  • CACCIATORE MD MICHAEL

    FORMER KEY EMPLOYEE

    Total calculated
    $1,864,920
    From this org
    $0
    From related orgs
    $1,820,625
    Other
    $44,295
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $806,322 related
    Bonus
    $0 + $351,116 related
    Other
    $0 + $663,187 related
    Deferred
    $0 + $18,516 related
    Nontaxable benefits
    $0 + $25,779 related
    Filer's total
    $0 + $1,864,920 related

  • HILLIARD DOUG

    DIRECTOR

    Total calculated
    $1,281,492
    From this org
    $0
    From related orgs
    $1,139,592
    Other
    $141,900
    Hours/week
    0.5 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $634,662 related
    Bonus
    $0 + $294,789 related
    Other
    $0 + $210,141 related
    Deferred
    $0 + $106,079 related
    Nontaxable benefits
    $0 + $35,821 related
    Filer's total
    $0 + $1,281,492 related

  • DESHAIES MD ERIC

    CHIEF PHYSICIAN EXEC

    Total calculated
    $952,575
    From this org
    $0
    From related orgs
    $784,507
    Other
    $168,068
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $560,319 related
    Bonus
    $0 + $145,470 related
    Other
    $0 + $78,718 related
    Deferred
    $0 + $127,365 related
    Nontaxable benefits
    $0 + $40,703 related
    Filer's total
    $0 + $952,575 related

  • JIMENEZ KRISTIN

    DIRECTOR

    Total calculated
    $851,873
    From this org
    $0
    From related orgs
    $741,180
    Other
    $110,693
    Hours/week
    0.5 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $498,864 related
    Bonus
    $0 + $148,046 related
    Other
    $0 + $94,270 related
    Deferred
    $0 + $75,478 related
    Nontaxable benefits
    $0 + $35,215 related
    Filer's total
    $0 + $851,873 related

  • MCKINNEY JILLYAN

    CEO

    Total calculated
    $843,581
    From this org
    $0
    From related orgs
    $707,555
    Other
    $136,026
    Hours/week
    28.5 + 21.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $514,216 related
    Bonus
    $0 + $155,638 related
    Other
    $0 + $37,701 related
    Deferred
    $0 + $98,868 related
    Nontaxable benefits
    $0 + $37,158 related
    Filer's total
    $0 + $843,581 related

  • WYLIE II WARREN

    FORMER KEY EMPLOYEE

    Total calculated
    $573,379
    From this org
    $0
    From related orgs
    $512,767
    Other
    $60,612
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $330,538 related
    Bonus
    $0 + $72,319 related
    Other
    $0 + $109,910 related
    Deferred
    $0 + $29,579 related
    Nontaxable benefits
    $0 + $31,033 related
    Filer's total
    $0 + $573,379 related

  • HATCHER NICHOLE

    CFO

    Total calculated
    $535,412
    From this org
    $0
    From related orgs
    $450,484
    Other
    $84,928
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $299,725 related
    Bonus
    $0 + $82,372 related
    Other
    $0 + $68,387 related
    Deferred
    $0 + $71,928 related
    Nontaxable benefits
    $0 + $13,000 related
    Filer's total
    $0 + $535,412 related

  • MCLARREN VANCE

    COO

    Total calculated
    $528,080
    From this org
    $0
    From related orgs
    $433,914
    Other
    $94,166
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $308,540 related
    Bonus
    $0 + $63,943 related
    Other
    $0 + $61,431 related
    Deferred
    $0 + $73,035 related
    Nontaxable benefits
    $0 + $21,131 related
    Filer's total
    $0 + $528,080 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · First-class or charter travel
  • 1a · Travel for companions
  • 1a · Tax indemnification and gross-up payments
  • 1a · Discretionary spending account
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 1A
THE FILING ORGANIZATION IS A PART OF THE SYSTEM OF HEALTHCARE ORGANIZATIONS KNOWN AS ADVENTHEALTH. MEMBERS OF THE FILING ORGANIZATION'S EXECUTIVE MANAGEMENT TEAM THAT HOLD THE POSITION OF VICE-PRESIDENT OR ABOVE ARE COMPENSATED BY AND ON THE PAYROLL OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC), THE PARENT ORGANIZATION OF THE HEALTHCARE SYSTEM KNOWN AS ADVENTHEALTH. AHSSHC IS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). THE FILING ORGANIZATION REIMBURSES AHSSHC FOR THE SALARY AND BENEFIT COST OF THOSE EXECUTIVES LISTED IN PART VII THAT ARE ON THE PAYROLL OF AHSSHC. AT THE DIRECTION OF AHSSHC, AND IN ACCORDANCE WITH THE RESERVED POWERS IN THE FILING ORGANIZATION'S GOVERNING DOCUMENTS, THE EXECUTIVE TEAM LISTED ON PART VII PROVIDES SERVICES TO THE FILING ORGANIZATION. TRAVEL FOR COMPANIONS: AHSSHC HAS A CORPORATE EXECUTIVE POLICY THAT PROVIDES A BENEFIT TO ALLOW FOR A TRAVELING AHSSHC EXECUTIVE TO HAVE HIS OR HER SPOUSE ACCOMPANY THE EXECUTIVE ON CERTAIN BUSINESS TRIPS EACH YEAR. TYPICALLY, REIMBURSEMENT IS ONLY PROVIDED TO CERTAIN EXECUTIVE LEADERS AND IS USUALLY LIMITED TO ONE BUSINESS TRIP PER YEAR BEYOND THE ANNUAL ADVENTHEALTH PRESIDENT'S COUNCIL BUSINESS MEETING AND OTHER MEETINGS WHERE THE SPOUSE IS SPECIFICALLY INVITED. THE AHSSHC CORPORATE EXECUTIVE SPOUSAL TRAVEL POLICY WAS ORIGINALLY APPROVED AND REVIEWED BY THE AHSSHC BOARD COMPENSATION COMMITTEE, AN INDEPENDENT BODY OF THE AHSSHC BOARD OF DIRECTORS. ALL SPOUSAL TRAVEL COSTS REIMBURSED TO THE EXECUTIVE ARE CONSIDERED TAXABLE COMPENSATION TO THE EXECUTIVE. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: ADVENTHEALTH HAS A SYSTEM-WIDE GENERAL POLICY ADDRESSING GROSS-UP PAYMENTS PROVIDED IN CONNECTION WITH EMPLOYER-PROVIDED BENEFITS (OTHER THAN RELOCATION ASSISTANCE PROVIDED TO EXECUTIVES). UNDER THE POLICY, CERTAIN TAXABLE BUSINESS-RELATED REIMBURSEMENTS THAT ARE PROVIDED TO ANY EMPLOYEE MAY BE GROSSED UP AT A 25% RATE UPON APPROVAL BY THE FILING ORGANIZATION'S CEO AND CFO. ADDITIONALLY, EMPLOYEES AT THE DIRECTOR LEVEL AND ABOVE ARE ELIGIBLE FOR GROSS-UP PAYMENTS ON GIFTS RECEIVED FOR BOARD OF DIRECTOR SERVICES. DISCRETIONARY SPENDING ACCOUNT: OCCASIONAL DISCRETIONARY SPENDING AMOUNTS ARE PERIODICALLY PROVIDED TO ELIGIBLE EXECUTIVES WHO ATTEND ANNUAL BUSINESS MEETINGS SUCH AS THE ADVENTHEALTH PRESIDENT'S COUNCIL, CFO CONFERENCE OR THE CMO/CNO BUSINESS MEETING. PAYMENTS PROVIDED TO EACH EXECUTIVE ARE CONSIDERED TAXABLE COMPENSATION TO THE EXECUTIVE.
PART I, LINE 3
THE INDIVIDUAL WHO SERVES AS THE CEO OF THE FILING ORGANIZATION IS APPOINTED AND COMPENSATED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). COMPENSATION AND BENEFITS PROVIDED TO THIS INDIVIDUAL ARE DETERMINED PURSUANT TO POLICIES, PROCEDURES, AND PROCESSES OF AHSSHC THAT ARE DESIGNED TO ENSURE COMPLIANCE WITH THE INTERMEDIATE SANCTIONS LAWS AS SET FORTH IN IRC SECTION 4958. AHSSHC HAS TAKEN STEPS TO ENSURE THAT PROCESSES ARE IN PLACE TO SATISFY THE REBUTTABLE PRESUMPTION OF REASONABLENESS STANDARD AS SET FORTH IN TREASURY REGULATION SECTION 53.4958-6 WITH RESPECT TO ITS ACTIVE EXECUTIVE-LEVEL POSITIONS. THE AHSSHC BOARD COMPENSATION COMMITTEE (THE COMMITTEE) SERVES AS THE GOVERNING BODY FOR ALL EXECUTIVE COMPENSATION MATTERS. THE COMMITTEE IS COMPOSED OF CERTAIN MEMBERS OF THE BOARD OF DIRECTORS (THE BOARD) OF AHSSHC. VOTING MEMBERS OF THE COMMITTEE INCLUDE ONLY INDIVIDUALS WHO SERVE ON THE BOARD AS INDEPENDENT REPRESENTATIVES, WHO HOLD NO EMPLOYMENT POSITIONS WITH AHSSHC AND WHO DO NOT HAVE RELATIONSHIPS WITH ANY OF THE INDIVIDUALS WHOSE COMPENSATION IS UNDER THEIR REVIEW THAT IMPACTS THEIR BEST INDEPENDENT JUDGMENT AS FIDUCIARIES OF AHSSHC. THE COMMITTEE'S ROLE IS TO REVIEW AND APPROVE ALL COMPONENTS OF THE EXECUTIVE COMPENSATION PLAN OF AHSSHC. AS AN INDEPENDENT GOVERNING BODY WITH RESPECT TO EXECUTIVE COMPENSATION, IT SHOULD BE NOTED THAT THE COMMITTEE WILL OFTEN CONFER IN EXECUTIVE SESSIONS ON MATTERS OF COMPENSATION POLICY AND POLICY CHANGES. IN SUCH EXECUTIVE SESSIONS, NO MEMBERS OF MANAGEMENT OF AHSSHC ARE PRESENT, OTHER THAN THE CHIEF PEOPLE OFFICER, WHO REMAINS AT THE REQUEST OF THE CHAIRMAN/COMMITTEE TO PROVIDE ASSISTANCE/INFORMATION AS NEEDED. THE COMMITTEE IS ADVISED BY AN INDEPENDENT THIRD-PARTY COMPENSATION ADVISOR. THIS ADVISOR PREPARES ALL THE BENCHMARK STUDIES FOR THE COMMITTEE. COMPENSATION LEVELS ARE BENCHMARKED WITH A NATIONAL PEER GROUP OF OTHER NOT-FOR-PROFIT HEALTHCARE SYSTEMS AND HOSPITALS OF SIMILAR SIZE AND COMPLEXITY TO ADVENTHEALTH AND EACH OF ITS AFFILIATED ENTITIES. THE FOLLOWING PRINCIPLES GUIDE THE ESTABLISHMENT OF INDIVIDUAL EXECUTIVE COMPENSATION: - THE SALARY OF THE PRESIDENT/CEO OF ADVENTHEALTH WILL NOT EXCEED THE 50TH PERCENTILE OF COMPARABLE SALARIES PAID BY SIMILARLY SITUATED ORGANIZATIONS; AND - OTHER EXECUTIVE SALARIES SHALL BE ESTABLISHED USING MARKET MEDIANS. THE COMPENSATION PHILOSOPHY, POLICIES, AND PRACTICES OF AHSSHC ARE CONSISTENT WITH THE ORGANIZATION'S FAITH-BASED MISSION AND CONFORM TO APPLICABLE LAWS, REGULATIONS, AND BUSINESS PRACTICES. AS A FAITH-BASED ORGANIZATION SPONSORED BY THE SEVENTH-DAY ADVENTIST CHURCH (THE CHURCH), AHSSHC'S PHILOSOPHY AND PRINCIPLES WITH RESPECT TO ITS EXECUTIVE COMPENSATION PRACTICES REFLECT THE CONSERVATIVE APPROACH OF THE CHURCH'S MISSION OF SERVICE AND WERE DEVELOPED IN COUNSEL WITH THE CHURCH'S LEADERSHIP.
PART I, LINE 4B
AS DISCUSSED IN LINE 1A ABOVE, EXECUTIVES ON THE FILING ORGANIZATION'S MANAGEMENT TEAM THAT HOLD THE POSITION OF VICE-PRESIDENT OR ABOVE ARE COMPENSATED BY AND ON THE PAYROLL OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC), THE PARENT ORGANIZATION OF THE HEALTHCARE SYSTEM KNOWN AS ADVENTHEALTH. IN RECOGNITION OF THE CONTRIBUTION THAT EACH EXECUTIVE MAKES TO THE SUCCESS OF ADVENTHEALTH, ADVENTHEALTH PROVIDES SUPPLEMENTAL EXECUTIVE RETIREMENT BENEFIT PLANS TO ELIGIBLE EXECUTIVES. AS THE SUPPLEMENTAL EXECUTIVE RETIREMENT BENEFIT PLANS WERE UPDATED IN 2020 AND CERTAIN INDIVIDUALS STILL PARTICIPATE AS GRAND-FATHERED PARTICIPANTS IN CERTAIN PLANS, THE NARRATIVE BELOW DISCUSSES ALL PLANS IN WHICH THERE WERE ANY PARTICIPANTS IN 2024. THE SERP III PLAN EFFECTIVELY REPLACES THE PRIOR SERP II PLAN, THE EXECUTIVE FLEX BENEFIT PROGRAM PLAN, AND THE SENIOR EXECUTIVE DEATH BENEFIT PLAN FOR QUALIFIED EXECUTIVES EXCEPT FOR CERTAIN GRANDFATHERED EXECUTIVE EMPLOYEES. SERP III PLAN: THE SERP III PLAN PROVIDES ELIGIBLE EXECUTIVES A PERCENTAGE OF THEIR BASE PAY, WHICH IS CREDITED TO A DEFERRED COMPENSATION ACCOUNT. THE PLAN ALSO PROVIDES FOR COMPENSATION DEFERRAL AND SELECTION OF LIFE INSURANCE COVERAGE AND LONG-TERM CARE INSURANCE. TO BE ELIGIBLE TO PARTICIPATE IN THE SERP III PLAN, EXECUTIVES MUST BE ON THE AHSSHC CORPORATE PAYROLL AND BE EITHER A CEO OF AN ADVENTHEALTH ENTITY, AN AHSSHC VICE PRESIDENT (VP) OR VP OF AN ADVENTHEALTH ENTITY WITH A BASE SALARY OF AT LEAST $345,000 IN 2024 (ADJUSTED ANNUALLY BY THE SAME PERCENTAGE AS IRC SECTION 401(A)(17) LIMIT INCREASES), OR OTHER LEADER SPECIFICALLY APPROVED BY THE ADVENTHEALTH PRESIDENT. ELIGIBLE EXECUTIVES DO NOT INCLUDE GRANDFATHERED EXECUTIVES, MEANING THOSE EXECUTIVES WHO WOULD SATISFY ALL THE ELIGIBILITY REQUIREMENTS OF THE SERP II PLAN PRIOR TO DEC 31, 2027, HAD THE PLAN NOT BEEN AMENDED AND RESTATED AS OF JAN. 1, 2020. CONTRIBUTION CREDITS WILL BE ESTABLISHED AND MAINTAINED BY CLASS YEAR ACCOUNTS FOR EACH PARTICIPANT USING TIERED CONTRIBUTION CREDIT PERCENTAGES OF ANNUAL BASE COMPENSATION. CONTRIBUTION CREDIT PERCENTAGES RANGE BETWEEN 15% AND 19% OF BASE COMPENSATION. CONTRIBUTION CREDITS WILL BE MADE EACH QUARTER IN 25% INCREMENTS WITH REDUCTIONS IN CONTRIBUTIONS IF THE EXECUTIVE IS ALSO A GRANDFATHERED FLEX PARTICIPANT (SEE BELOW). SERP III PROVIDES FOR A CLASS YEAR VESTING AND PAYMENT SCHEDULE (7 YEARS FOR EACH CLASS YEAR) WITH RESPECT TO AMOUNTS ACCUMULATED IN THE EXECUTIVE'S DEFERRED COMPENSATION ACCOUNT. UPON ATTAINMENT OF A NORMAL RETIREMENT AGE (AGE 62), OR UPON CERTAIN OTHER CIRCUMSTANCES AS DEFINED IN THE SERP III PLAN DOCUMENT, ALL DEFERRED AMOUNTS ARE PAID IMMEDIATELY TO THE PARTICIPANT. FOR ANY EXECUTIVES WORKING BEYOND THE NORMAL RETIREMENT AGE, FUTURE EMPLOYER CONTRIBUTIONS WILL BE MADE QUARTERLY FROM SERP III DIRECTLY TO THE PARTICIPANT AS A TAXABLE CASH BONUS. SERP II PLAN: THE SERP II PLAN IS A DEFINED BENEFIT, NON-TAX-QUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN EXECUTIVES WHO HAVE PROVIDED LENGTHY SERVICE TO ADVENTHEALTH AND/OR TO OTHER SEVENTH-DAY ADVENTIST CHURCH HOSPITALS OR HEALTH CARE INSTITUTIONS. UNDER THE PROVISIONS OF THE SERP II PLAN, BENEFITS ARE PROVIDED TO QUALIFYING EXECUTIVE PARTICIPANTS ON A PRO-RATA SCHEDULE BEGINNING WITH 20 YEARS OF SERVICE AS AN EMPLOYEE OF ADVENTHEALTH AND/OR ANOTHER HOSPITAL OR HEALTH CARE INSTITUTION CONTROLLED BY THE SEVENTH-DAY ADVENTIST CHURCH AND WHO SATISFY CERTAIN OTHER QUALIFYING CRITERIA. ELIGIBLE EMPLOYEES ARE RESTRICTED TO THOSE EXECUTIVES WHO, AS OF JANUARY 1, 2020, SATISFIED, OR IF EMPLOYMENT CONTINUES, WILL SATISFY THE ELIGIBILITY REQUIREMENTS OF SERP II PRIOR TO DECEMBER 31, 2027. THIS SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP II) WAS DESIGNED TO PROVIDE ELIGIBLE EXECUTIVES WITH THE ECONOMIC EQUIVALENT OF AN ANNUAL INCOME BEGINNING AT NORMAL RETIREMENT AGE EQUAL TO 60% OF THE AVERAGE OF THE PARTICIPANT'S THREE, FIVE OR SEVEN HIGHEST YEARS OF BASE SALARY FROM ADVENTHEALTH ACTIVE EMPLOYMENT INCLUSIVE OF INCOME FROM ALL OTHER SEVENTH-DAY ADVENTIST CHURCH HEALTHCARE EMPLOYER-FINANCED RETIREMENT INCOME SOURCES AND INVESTMENT INCOME EARNED ON THOSE CONTRIBUTIONS THROUGH SOCIAL SECURITY NORMAL RETIREMENT AGE AS DEFINED IN THE PLAN. THE NUMBER OF YEARS INCLUDED IN HIGHEST AVERAGE COMPENSATION IS DETERMINED BY THE INDIVIDUAL'S YEAR OF ENTRY TO SERP II AND BY THE INDIVIDUAL'S YEAR OF ENTRY TO THE ADVENTHEALTH EXECUTIVE FLEX BENEFIT PROGRAM. FLEX PLAN: THE FLEX PLAN WAS ORIGINALLY DESIGNED TO PROVIDE ELIGIBLE EXECUTIVES AN OPPORTUNITY TO SELECT FROM AMONG A VARIETY OF SUPPLEMENTAL BENEFITS, INCLUDING A SPLIT DOLLAR LIFE INSURANCE POLICY AND LONG-TERM CARE INSURANCE, TO INDIVIDUALLY TAILOR A BENEFITS PROGRAM APPROPRIATE TO EACH EXECUTIVE'S NEEDS. IN 2020, THE FLEX PLAN WAS AMENDED TO EXCLUDE EMPLOYED EXECUTIVES WHO ARE HIRED OR PROMOTED AFTER A CERTAIN DATE FROM BEING ELIGIBLE TO PARTICIPATE IN THE FLEX PLAN EXCEPT FOR CERTAIN INSURANCE COVERAGE FEATURES OF THE PLAN. THE FLEX PLAN PROVIDES ELIGIBLE PARTICIPANTS A PRE-DETERMINED BENEFITS ALLOWANCE CREDIT THAT IS EQUAL TO A PERCENTAGE OF THE EXECUTIVE'S BASE PAY FROM WHICH THE COST OF MANDATORY AND ELECTIVE EMPLOYEE BENEFITS IS DEDUCTED. THE BENEFITS ALLOWANCE CREDIT PERCENTAGE FOR ANY PLAN YEAR SHALL NOT BE GREATER THAN THE MAXIMUM DOLLAR AMOUNT OR THE PERCENTAGE OF COMPENSATION AS DETERMINED BY THE ADVENTHEALTH BENEFITS ADMINISTRATION COMMITTEE. FOR GRANDFATHERED ELIGIBLE EMPLOYEES, THE ANNUAL PRE-DETERMINED FLEX ALLOWANCE IS CONTRIBUTED AND ANY FUNDS THAT REMAIN AFTER THE COST OF MANDATORY AND ELECTIVE BENEFITS ARE SUBTRACTED ARE, AT THE EMPLOYEE'S OPTION, CONTRIBUTED TO EITHER AN IRC 457(F) DEFERRED COMPENSATION ACCOUNT OR TO AN IRC 457(B) ELIGIBLE DEFERRED COMPENSATION PLAN. UPON ATTAINMENT OF AGE 65, ALL PREVIOUS 457(F) DEFERRED AMOUNTS ARE PAID IMMEDIATELY TO THE PARTICIPANT AND ANY FUTURE EMPLOYER CONTRIBUTIONS ARE MADE QUARTERLY FROM THE PLAN DIRECTLY TO THE PARTICIPANT. THE PLAN PROVIDES FOR A CLASS YEAR VESTING SCHEDULE (2 YEARS FOR EACH CLASS YEAR) WITH RESPECT TO AMOUNTS ACCUMULATED IN THE EXECUTIVE'S 457(F) DEFERRED COMPENSATION ACCOUNT. DISTRIBUTIONS COULD ALSO BE MADE FROM THE EXECUTIVE'S 457(F) DEFERRED COMPENSATION ACCOUNT UPON ATTAINMENT OF AGE 65 OR UPON AN INVOLUNTARY SEPARATION. THE ACCOUNT WILL BE FORFEITED BY THE EXECUTIVE UPON A VOLUNTARY SEPARATION. WITH RESPECT TO GRANDFATHERED PARTICIPANTS, THE FLEX PLAN DOCUMENTS DEFINE ELIGIBLE EMPLOYEES TO INCLUDE THE CHIEF EXECUTIVE OFFICERS OF ADVENTHEALTH ENTITIES AND VICE PRESIDENTS OF ALL ADVENTHEALTH ENTITIES WHOSE BASE SALARY WAS AT LEAST EQUAL TO THE INTERNAL REVENUE CODE SECTION 401(A)(17) COMPENSATION LIMIT EACH YEAR. FLEX PLAN FLEX PLAN SERP II SERP III SERP III CONTR. DISTR.* CONTR./DISTR. CONTR. DISTR.* ADAMS,BRIAN $ 160,890 $ 116,908 $ 0 $ 57,610 $ 0 STILTZ,BRYAN $ 155,687 $ 120,928 $ 9,718 $ 0 $ 0 CACCIATORE,MICHAEL $ 160,890 $ 307,817 $ 0 $ 0 $ 0 HILLIARD,DOUGLAS $ 110,563 $ 78,402 $ 47,906 $ 0 $ 0 DESHAIES,ERIC $ 0 $ 0 $ 0 $ 108,849 $ 0 JIMENEZ,KRISTIN $ 74,368 $ 23,732 $ 0 $ 5,593 $ 0 MCKINNEY,JILLYAN $ 0 $ 0 $ 0 $ 81,399 $ 0 WYLIE, II,WARREN $ 34,063 $ 15,967 $ 0 $ 21,796 $ 21,796 HATCHER,NICHOLE $ 0 $ 0 $ 0 $ 53,412 $ 0 MCLARREN,VANCE $ 0 $ 0 $ 0 $ 54,519 $ 0 * INCLUDING INVESTMENT EARNINGS
PART I, LINE 4B (CONTINUED):
PHYSICIAN PLAN IN RECOGNITION OF THE CONTRIBUTION CERTAIN PHYSICIAN EMPLOYEES MAKE TO THE SUCCESS OF ADVENTHEALTH, ADVENTHEALTH HAS PROVIDED AN ADVENTHEALTH PHYSICIAN RETENTION PLAN (THE PHYSICIAN PLAN). THE PLAN WAS ESTABLISHED FOR THE PURPOSES OF PROVIDING DEFERRED BONUSES TO CERTAIN ELIGIBLE PHYSICIANS OF AHSSHC AND ITS AFFILIATES TO AID IN SUCH PHYSICIANS' ATTRACTION AND RETENTION. THIS PHYSICIAN PLAN WAS ADOPTED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (ADVENTHEALTH OR, TOGETHER WITH ANY OTHER PARTICIPATING EMPLOYER, THE "EMPLOYER") FOR CERTAIN PHYSICIAN EMPLOYEES OF THE EMPLOYER. THE PURPOSE OF THE PLAN IS TO OFFER THOSE ELIGIBLE PHYSICIAN EMPLOYEES AN OPPORTUNITY TO RECEIVE DEFERRED BONUS PAYMENT AMOUNTS FROM THE EMPLOYER TAXABLE PURSUANT TO SECTION 457(F) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED (THE "CODE"). THE PLAN IS INTENDED TO BE A "CHURCH PLAN" WITHIN THE MEANING OF SECTION 414(E) OF THE CODE AND SECTION 3(33) OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED, ("ERISA"), AND AS A RESULT, IS EXEMPT FROM ERISA. IT IS INTENDED THAT BENEFITS PAYABLE UNDER THE PLAN SHALL NOT CONSTITUTE DEFERRED COMPENSATION WITHIN THE MEANING OF SECTION 409A OF THE CODE (TOGETHER WITH THE TREASURY REGULATIONS OR ANY OTHER AUTHORITATIVE GUIDANCE ISSUED THEREUNDER, "SECTION 409A") UNDER THE "SHORT-TERM DEFERRAL" EXCEPTION OUTLINED, AS OF THE EFFECTIVE DATE, IN TREASURY REGULATION 1.409A-1(B)(4)-I.E., BECAUSE ALL BENEFIT PAYMENTS UNDER THE PLAN SHALL BE MADE NO LATER THAN TWO AND ONE-HALF (2 1/2) MONTHS FOLLOWING THE LAST DAY OF THE CALENDAR YEAR IN WHICH THE BENEFIT PAYMENTS ARE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. NOTWITHSTANDING THE PRECEDING, IF AND TO THE EXTENT FUTURE GUIDANCE INDICATES THAT BENEFITS PAYABLE UNDER THE PLAN DO CONSTITUTE DEFERRED COMPENSATION WITHIN THE MEANING OF SECTION 409A, IT IS INTENDED THAT THE PLAN SATISFIES THE REQUIREMENTS OF SECTION 409A. CY EMPLOYER CY CONTRIBUTION DISTRIBUTIONS* VIPUL PATEL, MD $500,000 $573,187 * INCLUDING INVESTMENT EARNINGS

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2024
Filed
22 October 2025
IRS schema version
2024v5.2
Source object
202513179349311646

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